Specialty Coder - PHYS

Piedmont Healthcare Inc.; United States; On-site; USD 65,000 - 85,000; Full time

Job summary

Piedmont Healthcare is seeking an experienced medical coder to join its corporate team. You will review, analyze, and code complex procedural and surgery documentation, ensuring ICD-10, CPT, modifiers, and HCPCS codes are accurate and specific.

You will abstract demographics and coding data, support medical necessity determinations, and audit orders and claims. Required are a GED or equivalent and an AAPC coding certificate; 3 years of multi-specialty coding experience and multiple

Qualifications

• 3 years of professional coding experience across multiple physician specialties.
• Experience coding across multiple specialties and remote coding experience is preferred.
• One or more certifications listed upon hire (RHIA/RHIT/CCA/CPC/CCS/CCS-P etc.).

Responsibilities

• Reviews, analyzes, and codes medical record documentation with ICD-10, CPT, modifiers and HCPCS codes to greatest specificity.
• Abstracts demographic and coding information into the information system accurately.
• Reviews documentation for medical necessity and audits orders and claims for accuracy.
• Provides guidance to physicians and staff in identifying and resolving coding issues.
• Develops effective relationships with physicians and stakeholders.
• Primary coding responsibility is complex procedural and surgery coding.

Skills

Medical coding

Healthcare documentation

Communication with physicians

Education

GED

AAPC Coding Certificate

Job description

Overview

At Piedmont Healthcare, you’ll love a shared purpose, be motivated to be your best, and be recognized for your contributions. Piedmont Healthcare leaders are in your corner and invested in your success. Our wellness programs and comprehensive total benefits and rewards will meet your needs for today and help you plan for the future.

Responsibilities

Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for various medical and surgical subspecialties for the correct ICD-10, CPT, Modifiers and/or HCPCS codes to the greatest specificity. Abstracts demographic and coding information into the information system accurately and completely. Reviews documentation for medical necessity. Audits orders and claims before submission for entirety and accuracy and to minimize claim denials. Assesses records and prepares reports. Provides technical guidance to physicians and other departmental staff in identifying and resolving issues or errors. Develops effective working relationship with physicians and other stakeholders. Primary coding responsibility is complex procedural and surgery coding.

Qualifications

Education

H.S. Diploma or General Education Degree (GED) Required

Coding Certificate program (AAPC accredited ) Preferred

Work Experience

3 years of professional coding experience across multiple physician specialties, including but not limited to Radiology, Surgery, Cardiology, Orthopedics, Neurology, Hospital Medicine, Internal Medicine, Behavioral Health, Pediatrics, Women's Services, Oncology, Gastroenterology, Urology, and other specialty practices Required

Experience coding across multiple specialties and remote coding experience is Preferred

Licenses and Certifications

One or more of the following certifications Upon Hire Required

RHIA - Registered Health Information Administrator or

RHIT - Registered Health Information Technician or

CCA - Certified Coding Associate or

CPC, CPC-A, or CPC-H or

CCS or CCS-P

Cardiology Specialties: Cardiothoracic, Interventional, EP, and Cardiovascular Surgery coding/certification Preferred

Transplant Surgery coding/certification Preferred

Neurosurgery Surgery coding/certification Preferred

Business Unit : Company Name Piedmont Healthcare Corporate